Active NPI
Highlands Rehabilitation and Healthcare LLC
- Skilled Nursing Facility
- Laporte, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- HIGHLANDS REHABILITATION AND HEALTHCARE LLC
- Practice address
- 918 Main St
Laporte, PA 18626-7007 - Phone
- (570) 946-7700
- NPI assigned
- Mar 18, 2024
- Last updated
- Mar 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Efraim Klein
- Title
- Authorized Official
- Phone
- (570) 946-7700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
918 Main St
Laporte, PA 18626-7007
Mailing address
575 Route 70
Brick, NJ 08723-4042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240531001889 | PA | Part A Provider - Skilled Nursing Facility | 4981046232 | Practice locations: Laporte, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1215796404. Details of each certification follow.
Skilled nursing facility certification: CCN 395683
- Legal name
- HIGHLANDS REHABILITATION AND HEALTHCARE LLC
- Doing business as
- HIGHLANDS REHABILITATION AND HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 16, 1985
- Last certification
- Jan 16, 2025
- Beds
- 120
- Ownership / control type
- Corporation
- Organization structure
- LLC
- Enrollment address
- 918 Main St
Laporte, PA 18626-7007 - Nursing home name
- HIGHLANDS REHABILITATION AND HEALTHCARE
- Affiliated entity
- CENTURY HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Highlands Rehabilitation and Healthcare
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 16, 1985
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Century Healthcare
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 32
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Jun 26, 2025 | ||
| Century V TBD Holdco LLC | 5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 100% |
| Indirect Ownership Interest | May 1, 2023 | 4.99% | |
| Indirect Ownership Interest | May 1, 2023 | 4.99% | |
| Indirect Ownership Interest | Apr 1, 2024 | 4.99% | |
| Shai Berdugo | 5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 60.55% |
| Operational/Managerial Control | Apr 1, 2025 | ||
| Managing Control - Governing Body | Apr 1, 2025 | ||
| Trustee of the SNF | Apr 1, 2024 | ||
| Adp of the SNF | Apr 1, 2025 | ||
| Indirect Ownership Interest | Apr 1, 2024 | 4.99% | |
| Indirect Ownership Interest | Apr 1, 2024 | 1.5% | |
| Indirect Ownership Interest | Apr 1, 2024 | 2.91% | |
| Omega Healthcare Investors Inc | Adp of the SNF | Apr 1, 2024 | |
| Indirect Ownership Interest | Apr 1, 2024 | 1% | |
| Adp of the SNF | Apr 1, 2024 | ||
| Gina Berdugo | Trustee of the SNF | Apr 1, 2024 | |
| Ohi Asset (PA), LP | 5% Or Greater Security Interest | Apr 1, 2024 | |
| Indirect Ownership Interest | Apr 1, 2024 | 11.5% | |
| Abigail Potts | Operational/Managerial Control | Apr 23, 2024 | |
| Adp of the SNF | Jun 26, 2025 | ||
| Trustee of the SNF | Apr 1, 2024 | ||
| Indirect Ownership Interest | Apr 1, 2024 | 1% | |
| Century V Pennsylvania Holdco LLC | 5% Or Greater Direct Ownership Interest | Apr 1, 2024 | 100% |
| Kulanu Oc Trust | 5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 5% |
| Adp of the SNF | Apr 1, 2024 | ||
| Indirect Ownership Interest | Apr 1, 2024 | 1.5% | |
| Brandon M Roscoe | Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 26, 2025 | ||
| Indirect Ownership Interest | May 1, 2023 | 4.99% | |
| Trustee of the SNF | Apr 1, 2024 | ||
| Adp of the SNF | Mar 4, 2025 | ||
| Direct Ownership Interest | Mar 4, 2025 | 100% | |
| Trustee of the SNF | Apr 1, 2024 | ||
| Indirect Ownership Interest | Apr 1, 2024 | 1.5% | |
| Trustee of the SNF | Apr 1, 2024 | ||
| Efraim Klein | 5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 10% |
| Corporate Officer | Apr 1, 2024 | ||
| Trustee of the SNF | Apr 1, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Du Bois, PA
- NPI 1639394034
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 8
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Nanticoke, PA
- NPI 1235844184
Kulanu Oc Trust
-
- Skilled Nursing Facility
- Tyrone, PA
- NPI 1053026997
Kulanu Oc Trust
-
- Skilled Nursing Facility
- Montrose, PA
- NPI 1275248015
Kulanu Oc Trust
-
- Skilled Nursing Facility
- Mountain Top, PA
- NPI 1912612508
Kulanu Oc Trust
-
- Skilled Nursing Facility
- Nanticoke, PA
- NPI 1750096293
Kulanu Oc Trust
-
- Skilled Nursing Facility
- Kingston, PA
- NPI 1942915483
Kulanu Oc Trust
-
- Skilled Nursing Facility
- Taylor, PA
- NPI 1710692082
Kulanu Oc Trust
-
- Skilled Nursing Facility
- Weatherly, PA
- NPI 1891400164
Kulanu Oc Trust
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Laporte, PA
- NPI 1487193280
-
- Family Medicine Physician
- Du Bois, PA
- NPI 1639394034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710720000000",
"number": "1215796404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 ROUTE 70",
"city": "BRICK",
"state": "NJ",
"postal_code": "087234042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 MAIN ST",
"city": "LAPORTE",
"state": "PA",
"postal_code": "186267007",
"telephone_number": "570-946-7700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLANDS REHABILITATION AND HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-18",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "EFRAIM",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "570-946-7700"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laporte, PA
- Concern-Professional Services for Children, Youth & Families
- Concern-Professional Services for Children, Youth & Families
- Luanne Cusatis, MS, CCC-SLP
- Bethany Suzanne Genevro, MSCCCSLP
- Guardian Elder Care at Laporte LLC (Highlands Healthcare and Rehabilitation Center)
- Andrea Lynn Jensen, M.S. CF-SLP
- Laporte Borough Volunteer Fire Comp
- Eric Warren Longenbach, MD
- Kasey Mastellar, PT, DPT
- Mental Health Associates of North Central PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.